217550 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 364750 Page 1 of 1
ONE CIVIC SQUARE JESSICA BALLINGER CHECK AMOUNT: $90.40
CARMEL, INDIANA 46032 10830 TOOLEY CT
+ !� APT IF CHECK NUMBER: 217550
o„
INDIANAPOLIS IN 46234
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4343000 REIMB 90 .40 TRAVEL FEES & EXPENSE
fRESCAIQa IT SUM SCAM OF ACCOUNTS GMW="Mum Im(Me
MILEAGE CLAIM
TO .. cSS ( coL ,::;�/iv��('rl
at ON AMOUNT OF APPROPWAnoR NO: FOR
on
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+ 8PUDOWSM MDING columns an to be used only when distance between points cannot be determined by fired mileage or official highway map. Ar 52_
Pursuant to the provisions and penalties of Chapter 155,Acts 1993,I hereby certify that the foregoing account is lust and correct,that the amount claimed is legally ,after ello ng all just credits.-
end that no dart of the same has been paid.
Date Feb �9—f sk j 3
CEIVED
FEB 1 9 f�
2013
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee Purchase Order No.
364750 Ballinger, Jessica Terms
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
2/8/13 Reimb Mileage 11/5 - 12/17/12
$ 90.40
Total $ 90.40
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20_
Clerk-Treasurer
Voucher No. Warrant No.
364750 Ballinger, Jessica Allowed 20
In Sum of$
$ 90.40
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-10 Reimb 4343000 $ 90.40 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
21-Feb 2013
&ftmuw-)
Signature
$ 90.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund